NDC codes

FDA NDC Directory
Product NDC (as listed)79739-7116Labeler and product segments. Claims need a package NDC.
Product NDC at billing width79739-7116Add the package segment from the table below.
Package NDCs as listed with the FDA, and the 11-digit 5-4-2 form used on claims. The highlighted digit is the added leading zero.
Package NDC11-digit (billing)PackageCopy
79739-7116-179739711601797397116017 d in 1 BOTTLE (79739-7116-1)Marketed from Oct 7, 2009
79739-7116-2797397116027973971160214 d in 1 BOTTLE (79739-7116-2)Marketed from Oct 7, 2009
79739-7116-3797397116037973971160330 d in 1 BOTTLE (79739-7116-3)Marketed from Oct 7, 2009

How the 11-digit form is made: The package segment has 1 digit, so one leading zero is added to it (5-4-1 → 5-4-2). Formatting the NDC does not by itself make it billable — the product, package and quantity must match what was dispensed or administered, and payer rules apply. Conversion rules

Product information

Generic name (nonproprietary)
polyethylene glycol 3350, nf powder for solution, laxative
Active ingredients
Polyethylene glycol 3350 — 17 g/d
Dosage form
Powder, For solution
Route
Oral
Labeler
LGM PHARMA SOLUTIONS, LLCNDC labeler code 79739
Product type
Over-the-counter drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 090812
Marketing start
Listing expires
Other FDA classes
Osmotic Activity (Mechanism)Stimulation Large Intestine Fluid/Electrolyte Secretion (Physiologic effect)
Identifiers
Product ID 79739-7116_fc3454ec-7729-4327-90f7-9e12dddb19d6SPL ID fc3454ec-7729-4327-90f7-9e12dddb19d6SPL set ID d78bead5-ff19-4d45-9003-ec131f1f5a13RxCUI 876193UNII G2M7P15E5P
Pharmacologic class
Osmotic Laxative

Billing references

What Med-Code can say about coding this product, and where each statement comes from. Nothing here is inferred from the name alone.

HCPCS codeNo match

No HCPCS code in Med-Code's directory. Oral products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N479739711601 followed by a unit qualifier and the quantity

Package 79739-7116-01. Unit qualifiers: F2 (international unit), GR (gram), ME (milligram), ML (milliliter), UN (unit (each)). The qualifier and quantity depend on what was given. About the N4 qualifier

Product label

Current FDA label (SPL), effective .

Indications (excerpt from the label)

Use relieves occasional constipation (irregularity) generally produces a bowel movement in 1 to 3 days

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 79739-7116

What is NDC 79739-7116?
79739-7116 is the product NDC for Polyethylene Glycol 3350, NF Powder for Solution, Laxative, Polyethylene glycol 3350 17 g/d powder, for solution, listed with the FDA by LGM PHARMA SOLUTIONS, LLC. It has 3 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Polyethylene Glycol 3350, NF Powder for Solution, Laxative.
What is the active ingredient?
Polyethylene glycol 3350.
Who is the labeler?
LGM PHARMA SOLUTIONS, LLC, NDC labeler code 79739. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Polyethylene Glycol 3350, NF Powder for Solution, Laxative?
1 other product NDC are listed under this name. See all Polyethylene Glycol 3350, NF Powder for Solution, Laxative NDCs.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other finished products listed under the same name: strengths, forms and labelers.

Other Polyethylene Glycol 3350, NF Powder for Solution, Laxative NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Polyethylene Glycol 3350, NF Powder for Solution, LaxativePolyethylene glycol 3350 17 g/dPowder, For solutionOralPharmaceutica North America, Inc.45861-08345861-0083-0545861-0083-06

Other NDCs under ANDA 090812

Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.

FDA NDC Directory listings under ANDA 090812
ProductStrengthForm · routeLabelerProduct NDC
Clearlaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralSTRATEGIC SOURCING SERVICES LLC70677-1068
EasyLAXpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralVALU MERCHANDISERS COMPANY63941-489
Polyethylene Glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralGeri-Care Pharmaceutical Corp57896-489
Polyethylene Glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralBryant Ranch Prepack72162-2180
Polyethylene Glycol 3350, NF Powder for Solution, LaxativePolyethylene glycol 3350 17 g/dPowder, For solutionOralPharmaceutica North America, Inc.45861-083

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